[FILL OUT cause number and heading information EXACTLY ... - Texas Law Help

[FILL OUT cause number and heading information EXACTLY as it is written on the Petition]

NO. ____________________

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AFFIDAVIT

THE STATE OF TEXAS

COUNTY OF _________________________________________________

[PRINT the name of the county where this statement is being notarized.]

BEFORE ME, the undersigned authority, on this day personally appeared

_________________________________________________________________________, who

[PRINT the first and last names of the person who will sign this statement.]

swore or affirmed to tell truth, and stated as follows:

"My name is ____________________________________________________________.

[PRINT the first and last names of the person who will sign this statement.]

I am of sound mind and capable of making this sworn statement. I have personal knowledge of

the facts written in this statement. I understand that if I lie in this statement I may be held

criminally responsible. This statement is true.



Last Update: 6-16-05

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[The person who has personal knowledge of this statement must sign it.

DO NOT SIGN this statement until you are in front of a notary.]

State of Texas

County of ____________________________________________

[name of county where statement is notarized.]

SWORN to and SUBSCRIBED before me, the undersigned authority, on

the _______ day of _______________________________________________, ______________ year, by

_____________________________________________________________________________________.

[PRINT the first and last names of the person who is signing this affidavit.]

________________________________________

Notary Public, State of Texas [Notary¡¯s signature.]

[Notary¡¯s seal must be included.]



Last Update: 6-16-05

Sworn Statement-1-Affidavit

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